Individual
MS. JENNIFER LYNN STAHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.L.
Contact information
Practice address
49 BLUE RIDGE RD, CHITTENDEN, VT 05737-9829
(802) 483-2978
Mailing address
49 BLUE RIDGE RD, CHITTENDEN, VT 05737-9829
(802) 483-2978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000021
VT
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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